Individual
STACEY MICHELLE NEDRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, DMD
Contact information
Practice address
7711 BAYMEADOWS RD E STE 7, JACKSONVILLE, FL 32256-9110
(321) 591-1840
Mailing address
7711 BAYMEADOWS RD E STE 7, JACKSONVILLE, FL 32256-9110
(321) 591-1840
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
ME149400
FL
Other
Enumeration date
04/02/2014
Last updated
07/29/2024
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